Individual provider Active NPI

Kimberlee Gay Tiritilli, RPH

  • Pharmacist
  • Pflugerville, TX
National Provider Identifier
1144500893
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
33355 Issued in TX
Practice address
2021 W Pecan St
Pflugerville, TX 78660-3528
Phone
(512) 251-4554
Fax
(512) 251-5569
NPI assigned
Aug 26, 2011
Last updated
Aug 26, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 33355 TX Primary

Addresses

Primary practice location

2021 W Pecan St
Pflugerville, TX 78660-3528

Mailing address

2321 Berwick Dr
Round Rock, TX 78681-2618
Phone (512) 244-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
33355TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1144500893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 BERWICK DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786812618",
            "telephone_number": "512-244-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 W PECAN ST",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603528",
            "telephone_number": "512-251-4554",
            "fax_number": "512-251-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRITILLI",
        "first_name": "KIMBERLEE",
        "middle_name": "GAY",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "33355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.